IndividualActive
Jennie Queen, PA-C
NPI 1154574986 · Medical Physician Assistant · Middletown, DE
Provider details
- NPI number
- 1154574986
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- C5-439 (DE)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
106 S Broad St
Middletown, DE 19709-1439
Phone: (302) 449-1710
Approximate (ZIP-level) locationGet directions
Mailing address
106 S Broad St
Middletown, DE 19709-1439
Registry dates
- Enumerated
- 2008-10-24
- Last updated
- 2008-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.